Individual provider Active NPI

James Tela, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1750338661
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
070083 Issued in NY
Practice address
1100 Madison Ave. - Suite 7L
New York, NY 10028-0327
Phone
(212) 252-3133
Fax
(732) 727-9425
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 070083 NY Primary
Clinical Social Worker 1041C0700X 070083-1 NJ

Addresses

Primary practice location

1100 Madison Ave. - Suite 7L
New York, NY 10028-0327

Mailing address

4-16 Skytop Gardens
Parlin, NJ 08859-2104
Phone (908) 420-3103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070083-1NJMDClinical Social Worker
070083NYMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750338661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4-16 SKYTOP GARDENS",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088592104",
            "telephone_number": "908-420-3103",
            "fax_number": "732-727-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MADISON AVE. - SUITE 7L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280327",
            "telephone_number": "212-252-3133",
            "fax_number": "732-727-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELA",
        "first_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070083",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "070083-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.